Comparision Between Nasotracheal Intubation and Submental  Intubation in Pan Facial Trauma

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Comparision Between Nasotracheal Intubation and Submental Intubation in Pan Facial Trauma

Volume 8, (october Spl Edition)

Balakrishnan, Vijay Ebenezer, N. P .Prabhu and M.Vivek

Department of Oral and Maxillofacial Surgery, Sree Balaji Dental College and Hospital, Bharath University, pallikaranai, Chennai - 600100, India.

DOI : http://dx.doi.org/10.13005/bpj/790

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ABSTRACT:

Submental orotracheal intubation is a simple, quick and effective alternative to oral and nasal tracheal intubation or tracheostomy in the surgical management of selected patients with craniomaxillofacial injuries. It has a low morbidity and it does not impede the surgical field, allowing for temporary maxillomandibular fixation intra-operatively, and nasal assessment, manipulation and bone grafting, either simultaneously or as an independent procedure. It is a gold standard procedure in pan-facial fracture where nasotracheal intubation cannot be done.

KEYWORDS:

Craniomaxillary trauma; Anaesthesia equipment; Endotracheal tube; Intubation tracheal; submental